feat(health): Phase 1 业务改进 — 诊断编码/统计API/体征表合并/积分修复

1.1 Dashboard 统计: 新增 3 个统计端点 (patient/consultation/follow-up)
1.2 事件发布: follow_up.overdue + health_data.critical_alert 事件
1.3 体征表合并: vital_signs 添加 source 列, daily_monitoring 委托写入
1.4 实时预警: 创建体征时检测血压/心率/血糖异常并发布事件
1.5 诊断编码: 新建 diagnosis entity/service/handler + ICD-10 支持
1.6 积分过期: expire_points 定时任务 + 修复 r#type 列名问题

修复: points_transaction.r#type → transaction_type 列重命名
修复: consultation_message.sender_type → sender_role SQL 列名
前端: 3 个统计 API 从伪实现改为真实调用

crates/erp-health/src/handler/diagnosis_handler.rs

@@ -0,0 +1,98 @@
+use axum::Extension;
+use axum::extract::{FromRef, Json, Path, Query, State};
+use serde::Deserialize;
+use erp_core::error::AppError;
+use erp_core::rbac::require_permission;
+use erp_core::types::{ApiResponse, PaginatedResponse, TenantContext};
+
+use crate::dto::diagnosis_dto::*;
+use crate::dto::DeleteWithVersion;
+use crate::service::diagnosis_service;
+use crate::state::HealthState;
+
+#[derive(Debug, Deserialize)]
+pub struct PaginationParams {
+    pub page: Option<u64>,
+    pub page_size: Option<u64>,
+}
+
+pub async fn list_diagnoses<S>(
+    State(state): State<HealthState>,
+    Extension(ctx): Extension<TenantContext>,
+    Path(patient_id): Path<uuid::Uuid>,
+    Query(params): Query<PaginationParams>,
+) -> Result<Json<ApiResponse<PaginatedResponse<DiagnosisResp>>>, AppError>
+where
+    HealthState: FromRef<S>,
+    S: Clone + Send + Sync + 'static,
+{
+    require_permission(&ctx, "health.health-data.list")?;
+    let page = params.page.unwrap_or(1);
+    let page_size = params.page_size.unwrap_or(20);
+    let result = diagnosis_service::list_diagnoses(
+        &state, ctx.tenant_id, patient_id, page, page_size,
+    )
+    .await?;
+    Ok(Json(ApiResponse::ok(result)))
+}
+
+pub async fn create_diagnosis<S>(
+    State(state): State<HealthState>,
+    Extension(ctx): Extension<TenantContext>,
+    Path(patient_id): Path<uuid::Uuid>,
+    Json(req): Json<CreateDiagnosisReq>,
+) -> Result<Json<ApiResponse<DiagnosisResp>>, AppError>
+where
+    HealthState: FromRef<S>,
+    S: Clone + Send + Sync + 'static,
+{
+    require_permission(&ctx, "health.health-data.manage")?;
+    let result = diagnosis_service::create_diagnosis(
+        &state, ctx.tenant_id, patient_id, Some(ctx.user_id), req,
+    )
+    .await?;
+    Ok(Json(ApiResponse::ok(result)))
+}
+
+pub async fn update_diagnosis<S>(
+    State(state): State<HealthState>,
+    Extension(ctx): Extension<TenantContext>,
+    Path(diagnosis_id): Path<uuid::Uuid>,
+    Json(req): Json<UpdateDiagnosisWithVersion>,
+) -> Result<Json<ApiResponse<DiagnosisResp>>, AppError>
+where
+    HealthState: FromRef<S>,
+    S: Clone + Send + Sync + 'static,
+{
+    require_permission(&ctx, "health.health-data.manage")?;
+    let result = diagnosis_service::update_diagnosis(
+        &state, ctx.tenant_id, diagnosis_id, Some(ctx.user_id), req.data, req.version,
+    )
+    .await?;
+    Ok(Json(ApiResponse::ok(result)))
+}
+
+pub async fn delete_diagnosis<S>(
+    State(state): State<HealthState>,
+    Extension(ctx): Extension<TenantContext>,
+    Path(diagnosis_id): Path<uuid::Uuid>,
+    Json(req): Json<DeleteWithVersion>,
+) -> Result<Json<ApiResponse<()>>, AppError>
+where
+    HealthState: FromRef<S>,
+    S: Clone + Send + Sync + 'static,
+{
+    require_permission(&ctx, "health.health-data.manage")?;
+    diagnosis_service::delete_diagnosis(
+        &state, ctx.tenant_id, diagnosis_id, Some(ctx.user_id), req.version,
+    )
+    .await?;
+    Ok(Json(ApiResponse::ok(())))
+}
+
+#[derive(Debug, serde::Deserialize, utoipa::ToSchema)]
+pub struct UpdateDiagnosisWithVersion {
+    #[serde(flatten)]
+    pub data: UpdateDiagnosisReq,
+    pub version: i32,
+}

crates/erp-health/src/handler/mod.rs

@@ -2,9 +2,11 @@ pub mod appointment_handler;
 pub mod article_handler;
 pub mod consultation_handler;
 pub mod daily_monitoring_handler;
+pub mod diagnosis_handler;
 pub mod dialysis_handler;
 pub mod doctor_handler;
 pub mod follow_up_handler;
 pub mod health_data_handler;
 pub mod patient_handler;
 pub mod points_handler;
+pub mod stats_handler;

crates/erp-health/src/handler/stats_handler.rs

@@ -0,0 +1,48 @@
+use axum::Extension;
+use axum::extract::{FromRef, Json, State};
+use erp_core::error::AppError;
+use erp_core::rbac::require_permission;
+use erp_core::types::{ApiResponse, TenantContext};
+
+use crate::service::stats_service;
+use crate::dto::stats_dto::*;
+use crate::state::HealthState;
+
+pub async fn get_patient_stats<S>(
+    State(state): State<HealthState>,
+    Extension(ctx): Extension<TenantContext>,
+) -> Result<Json<ApiResponse<PatientStatisticsResp>>, AppError>
+where
+    HealthState: FromRef<S>,
+    S: Clone + Send + Sync + 'static,
+{
+    require_permission(&ctx, "health.patient.list")?;
+    let result = stats_service::get_patient_statistics(&state, ctx.tenant_id).await?;
+    Ok(Json(ApiResponse::ok(result)))
+}
+
+pub async fn get_consultation_stats<S>(
+    State(state): State<HealthState>,
+    Extension(ctx): Extension<TenantContext>,
+) -> Result<Json<ApiResponse<ConsultationStatisticsResp>>, AppError>
+where
+    HealthState: FromRef<S>,
+    S: Clone + Send + Sync + 'static,
+{
+    require_permission(&ctx, "health.consultation.list")?;
+    let result = stats_service::get_consultation_statistics(&state, ctx.tenant_id).await?;
+    Ok(Json(ApiResponse::ok(result)))
+}
+
+pub async fn get_follow_up_stats<S>(
+    State(state): State<HealthState>,
+    Extension(ctx): Extension<TenantContext>,
+) -> Result<Json<ApiResponse<FollowUpStatisticsResp>>, AppError>
+where
+    HealthState: FromRef<S>,
+    S: Clone + Send + Sync + 'static,
+{
+    require_permission(&ctx, "health.follow-up.list")?;
+    let result = stats_service::get_follow_up_statistics(&state, ctx.tenant_id).await?;
+    Ok(Json(ApiResponse::ok(result)))
+}